MID FLORIDA INTERNAL MEDICINE NPI 1639291834

NPI Information

  • NPI: 1639291834
  • Provider Name: MID FLORIDA INTERNAL MEDICINE
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Organization
  • Address: 11036 BRIDGE HOUSE DR
    WINDERMERE, FL
    ZIP 34786
  • Phone: (321) 229-5479

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NPI Details

MID FLORIDA INTERNAL MEDICINE is a hospitalist in Windermere, FL. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. MID FLORIDA INTERNAL MEDICINE NPI is 1639291834. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11036 BRIDGE HOUSE DR
WINDERMERE, FL
ZIP 34786-404
Phone: (321) 229-5479
Fax: (407) 876-8286

The provider's authorized official is Sanjay Prakash Muttreja .
The authorized official title is President and has the following contact phone number (321) 229-5479.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 4/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist73769FLORIDANo
2208M00000XHospitalistME0073769FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CW617AMEDICARE OSCAR/CERTIFICATIONFLORIDA
2G63783MEDICARE UPINFLORIDA
3263823100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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